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LOCAL HEALTH DEPARTMENT BUDGET <br /> 4.C.Department of Environment, <br /> Health,and Natural Resources Revision Number— <br /> 1 Division of General Services #2 <br /> Division of Environmental Health <br /> P.O.Number <br /> 7 / 97 6 / 98 9 8 4 7 5 2 0 0 6 8 <br /> E^ective Date Termination Date i Contract Number <br /> Contractor: Orange County Health Department Activity:Food and Lodging <br /> Project Director. Daniel H. Reimer Total Budget:$ 750.00 <br /> ITEM DESCRIPTION , CLASSIFICATION ITEM AMOUNT <br /> E STATE EXPENDITURES: <br /> X Salaries & Fringe Benefits SA/FR 1000 750.00 <br /> Operating Expenses OP E (P 2000 <br /> P Purchase of Equipment EQUIP 5000 <br /> E General Contracted or <br /> N Purchased Services GENERAL....................._6100.. <br /> School Health <br /> D - <br /> ,clinician ... ................................ <br /> ........................ <br /> T Laboratory LAB 6862 <br /> Pharmacy Services . ......... ::..:.tea .:::.. :.. ..:..... :.�:...:.:::.:.. <br /> Transfer TM <br /> R Subtotal State Expend. S 750.00 <br /> E LOCAL EXPENDITURES: LOCAL EXP 9000 - 0 <br /> S <br /> TOTAL EXPENDITURES--equal to Total Receipts $ 750.00 <br /> LOCAL FUNDS: <br /> R Appropriation APPROP 101 0 <br /> E TM TXIX 102 0 <br /> C Other Receipts OTHR REC 103 0 <br /> E Subtotal Local Funds $ 0 <br /> STATE/FEDERAL/SPECIAL FUNDS: <br /> I <br /> P DEHHR $ 750.00 <br /> T <br /> S <br /> Subtotal State/Federal/Special $ 750.00 - <br /> TOTAL RECEIPTS—equal to Total Expenditures is 750.00 <br /> ��1rti1. v s / I i if 2 (p 7 <br /> Local Authorized Official Signature Vare Branch Hod Division/Se on Signature Date <br /> Finance Officer Si a Date . An=ne <br /> 1� e� , -.� � .� ,r Fiscal Management- tgnature Dace <br /> DEHNR 2948(Revised 2/93) <br /> Geneni SerAces Division(Review Z( 7 <br />